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5 min read

Sesame Launches Fertility Program with Costco & IVI RMA

Published on March 9, 2026
5 min read
Leah Rosenfield
Written by

Key takeaways

  • Sesame’s new fertility program connects patients with experts in reproductive care online, with the option to transition seamlessly to in-person care through IVI RMA if specialized treatment is needed.
  • The program offers ongoing virtual fertility support — including consultations, personalized care plans, messaging, and medication management — starting at $119/month or $99/month for Costco members.
  • Patients can begin their fertility journey with affordable, convenient virtual care and access referrals, discounted labs, and specialist treatment if needed.

Accessing fertility care has traditionally meant long wait times for care and expensive specialist visits. Today, Sesame is changing that.

We’re excited to announce a new partnership with Costco and IVI RMA, the world’s leading reproductive medicine group, to launch a comprehensive fertility program designed to make expert fertility guidance more accessible, affordable, and convenient.

Through this new program, patients across the United States can connect with leading fertility providers online through Sesame — and, if specialized treatment is needed, seamlessly transition to in-person care with IVI RMA specialists.

Best of all, the program starts at just $119/month, or as low as $99/month for Costco members. Here’s what you need to know about how the program works, what’s included, pricing, and how to get started.

How does Sesame's fertility program work?

The Sesame fertility program is designed to support patients at every stage of their fertility journey — from early planning to advanced treatment if needed.

Patients begin with virtual care through Sesame, where they are matched with a fertility provider trained in diagnostic protocol for reproductive medicine. During your initial consultation, your provider will review your medical history, fertility goals, and any symptoms or concerns.

From there, your provider can:

  • Evaluate your reproductive health
  • Order fertility labs and diagnostic tests
  • Prescribe medications when appropriate
  • Create a personalized conception or fertility care plan
  • Provide ongoing guidance through follow-up visits and messaging

If specialized care becomes necessary, your Sesame provider can coordinate a referral to IVI RMA, one of the world’s leading fertility networks. This ensures a smooth transition to in-person care for treatments such as IUI, IVF, egg freezing, or advanced diagnostics.

Many patients begin their journey virtually with Sesame and only work with an IVI RMA clinic if more specialized, in-person treatment becomes part of their plan.

What’s included in Sesame’s fertility program?

Sesame’s fertility program gives patients continuous access to personalized fertility guidance and expert support. It includes:

  • A dedicated fertility provider: Work with a provider who understands your fertility history, goals, and timeline.
  • Virtual consultations as needed: Schedule follow-up video visits to adjust your plan, review test results, or discuss next steps.
  • Unlimited provider messaging: Ask questions, share updates, and receive guidance between visits.
  • Personalized fertility planning: Receive tailored recommendations to improve your chances of conception, including lifestyle guidance and treatment options.
  • Diagnostic lab ordering: Your provider can order fertility tests such as AMH, FSH, and TSH, as well as semen analysis and ultrasounds when appropriate.
  • Medication management: Providers may prescribe fertility medications such as ovulation induction treatments and send prescriptions directly to your pharmacy.
  • Coordination with IVI RMA specialists: If specialized care is needed, your provider can refer you to IVI RMA for in-clinic fertility treatments, including IVF and egg freezing.

How much does Sesame’s fertility program cost?

The Sesame fertility program offers transparent monthly pricing with no insurance required. It is currently priced at $99/month for Costco members, and as low as $119/month for non-Costco members.

The monthly membership includes your initial fertility consultation, ongoing virtual visits as needed, unlimited provider messaging, fertility planning, lab ordering, medication management, and coordination with IVI RMA specialists.

Some services are not included in the monthly subscription, including:

  • Fertility medications
  • Laboratory testing
  • Diagnostic imaging
  • Procedures such as IUI or IVF
  • Egg retrieval, embryo transfer, or cryopreservation
  • Genetic testing or counseling

However, patients referred to IVI RMA may receive exclusive discounts on select fertility procedures, and Sesame has negotiated low cash-pay pricing for labs through Quest Diagnostics to help keep costs transparent and affordable.

How to get started with Sesame’s fertility program

Getting started with the Sesame fertility program is simple. First, sign up for Sesame's fertility program online. If you have a Costco membership, you can activate your account on Sesame here in order to access the program at the discounted rate of $99 per month.

Next, schedule your initial fertility consultation, a one-on-one video visit with a Sesame provider who will review your health history, discuss your fertility goals, and begin building your personalized care plan.

From there, you’ll receive ongoing support through virtual visits and unlimited messaging with your provider. If additional testing, medications, or specialized care is needed, your provider will guide you through every step of the process.

What is Sesame?

Sesame has built a unique health care marketplace, connecting thousands of outpatient healthcare providers covering all 50 United States with American consumers seeking high-quality, convenient medical care at half the price of what is typical.

By bringing marketplace dynamics to consumer healthcare for the first time, Sesame has created an environment where providers actually compete to serve patients, regardless of their insurance status. The resulting competition lowers the price of care, drives complete price transparency, provides ready access to health providers (the majority of appointments on Sesame take place within two hours), and ensures a high-quality consumer experience with top-rated providers.

Providers in the Sesame marketplace include primary care doctors and nurses, more than 40 health specialties, labs and imaging centers; and are inclusive of both virtual and in-person care.

Sesame doesn’t accept health insurance (which also keeps prices low). This makes it ideal for Costco Members that prefer to pay cash for their health care, whether it is because they are enrolled in high deductible insurance plans, are uninsured, or simply appreciate the price, quality and convenience of Sesame.

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